Diagnostic Imaging Department, Foothills Hospital, University of Calgary, Calgary, AB T2N 2T9, Canada.
Cardiovasc Intervent Radiol. 2011 Feb;34 Suppl 2:S161-6. doi: 10.1007/s00270-010-9940-9. Epub 2010 Aug 6.
The investigators present a novel image-guided embolization, not previously described, of a uterine arteriovenous malformation (AVM) resistant to endovascular management. The uterus was exposed surgically, and Histoacryl (Braun, Fulda, Germany) was injected directly into the nidus using ultrasound guidance and fluoroscopy. The patient had a successful full-term pregnancy after this procedure. This technique may be a useful alternative management strategy in patients with uterine AVM who fail traditional endovascular embolization and who still desire fertility.
研究者们提出了一种新的、以前未被描述过的、针对经血管内治疗抵抗的子宫动静脉畸形(AVM)的影像引导栓塞方法。该子宫通过手术暴露,然后在超声引导和透视下直接将Histoacryl(德国富尔达的 Braun 公司)注入病灶。在该操作后,该患者成功足月妊娠。对于那些传统血管内栓塞治疗失败但仍有生育要求的子宫 AVM 患者,该技术可能是一种有用的替代治疗策略。